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The Limited PPO Overview Same covered and non-covered services as the Partnership / Standard options Same healthcare network providers (BCBST & Cigna networks) Premiums are lower, but Out-of-Pocket costs like deductibles and copays are higher There are no wellness requirements to qualify for the lower Limited PPO premiums IT IS NOT LIMITED COVERAGE…

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Want the Limited PPO + Gap Plan? You must pick the Limited PPO during your open enrollment Annual open enrollment is Oct 1 – Oct 31 It’s as easy as 1,2,3: 1.Go to the state health plans website 2.Log in & pick the Limited PPO you want 3.Enroll family members to be covered You and covered family members on the Limited PPO will be auto enrolled for Gap Your benefits department can help if needed